Individual
ALLEN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1335 COFFEE RD #200, MODESTO, CA 95355
(209) 576-1946
(209) 576-0072
Mailing address
4318 SPYRES WAY, MODESTO, CA 95356
(209) 576-0710
(209) 576-0913
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6373
CA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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